Understanding Pain Behind Molars: Is It Wisdom Teeth Coming In?
Pain in the gums behind the molars? I noticed pain in the tissue behind my lower right molar last night. Could this be a sign that my wisdom tooth is coming in? What should I do?
Dr. Zhuang Suhui Reply:
Hello: You can get an X-ray at the dentist to check the growth of your teeth. If the position or direction of growth is not suitable, extraction may be necessary. If the position is acceptable, you can wait until the teeth have fully erupted, and the pain should subside.[Read More] Understanding Pain Behind Molars: Is It Wisdom Teeth Coming In?
Addressing Crowded Teeth: Solutions for Your Child's Dental Growth
The spaces between the teeth are too small, leading to issues with the gums? 1. My child, born in 2001 (10 years old), has already developed the upper left teeth 1, 2, and 4, as well as the upper right teeth 1, 2, and 4 (for at least six months). 2. The upper left third molar an...
Dr. Zeng Guanghui Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The first, second, and fourth permanent teeth in the upper left and lower right have erupted, but the third molar is unable to erupt properly due to insufficient spa...[Read More] Addressing Crowded Teeth: Solutions for Your Child's Dental Growth
Should You Keep a Tiny Tooth Root When Getting Dentures?
Natural tooth root My mother's upper lateral incisors and canines were extracted due to looseness, and she is now looking to get dentures. However, there is still a small portion of natural tooth remaining from the upper lateral incisor, which has not been completely extract...
Dr. Cao Guoqing Reply:
Hello, ma'am. Whether to extract or not is a consideration for the dentist. Therefore, it may be necessary to ask the dentist why. In principle, a healthy tooth root can be retained, and it can also preserve the alveolar bone. However, having teeth also carries the risk of c...[Read More] Should You Keep a Tiny Tooth Root When Getting Dentures?
Understanding Tooth Sensitivity: When to Seek Dental Care
Intermittent toothache? Hello, Doctor. Due to my studies in the United States, I can only visit the dentist in Taiwan during the summer break each year. Last summer, I had a filling done on a molar that had previously fallen out, and everything else was in good condition. I occas...
Dr. Yang Zhiren Reply:
Tooth sensitivity may be due to the following possibilities: 1. Gum recession leading to exposed tooth roots causing sensitivity; 2. Enamel wear; 3. Dental caries. For conditions 1 and 2, using desensitizing toothpaste (fluoride toothpaste) may help improve the situation. If it i...[Read More] Understanding Tooth Sensitivity: When to Seek Dental Care
Understanding Talon Cusp in Toddlers: Treatment Options and Advice
Pediatric anterior crossbite Hello, doctor. My child is about one year and three months old. Previously, I noticed an extra small pointed tooth behind the front teeth (in the same dental arch). We consulted a pediatric dentist, who diagnosed it as a Talon Cusp. One doctor suggest...
Dr. Zhuang Suhui Reply:
Hello: First, it is important to determine whether it is a supernumerary tooth or a Talon cusp. If it is a supernumerary tooth that affects occlusion, it can be directly extracted. However, if it is a Talon cusp, it is more complicated because this type of cusp contains pulp. If ...[Read More] Understanding Talon Cusp in Toddlers: Treatment Options and Advice
How to Determine if Your Tooth Has a Dental Post?
How can you tell if a tooth has been filled with a dental restoration? My upper molar had already undergone root canal treatment, but it broke while I was eating. I went to see a dentist at a clinic, and he said he would place a post, charging me NT$1,000. However, I feel that he...
Dr. Cao Guoqing Reply:
Hello! For teeth that have undergone root canal treatment, it is generally recommended to get a crown (also known as a fixed prosthesis) to prevent the tooth from fracturing, as these teeth tend to be more brittle. Secondly, if there is not much tooth structure remaining, a post ...[Read More] How to Determine if Your Tooth Has a Dental Post?
Understanding Dark Shadows on Tooth Roots: Causes and Treatment Options
The presence of a dark shadow at the root of a tooth, despite the nerve being intact, may indicate several potential issues, such as a periapical abscess, periodontal disease, or a dental cyst. These conditions can arise from factors like untreated cavities, trauma, or gum diseas...
Dr. Zhuang Suhui Reply:
Hello: Dental nerve necrosis, cysts, tumors, and some normal anatomical tissues can all cause shadows at the root of the tooth. It is recommended that you visit a major hospital for further examination.[Read More] Understanding Dark Shadows on Tooth Roots: Causes and Treatment Options
Understanding Tooth Pain After Filling: Common Concerns and Solutions
Small cavities. After taking X-rays, a larger hole was drilled. It hurt more after the filling was completed? Hello Dr. Yang, for the past two weeks, I have experienced slight pain in a specific tooth when eating, but normally there is no discomfort. After getting it filled, it a...
Dr. Yang Zhiren Reply:
Hello: We apologize for the issues with the medical consultation system, which has prevented us from seeing your questions on our dental consultation platform. Therefore, there has been a delay in our response. For general cavities that are not deep, it is usually sufficient to...[Read More] Understanding Tooth Pain After Filling: Common Concerns and Solutions
Post-Tooth Extraction Care: When to Use Bone Graft or Collagen?
lower right molar The lower right last molar underwent root canal treatment several years ago, and X-rays show a radiolucency at the apex. The wisdom tooth was extracted 18 years ago. After the molar extraction, is it necessary to immediately supplement with collagen or bone graf...
Dr. Zeng Guanghui Reply:
Hello, sir: Thank you for your inquiry. Here are my responses to your questions and some recommendations: After root canal treatment, the tooth structure may become dehydrated and more prone to cracking. If an X-ray shows a radiolucency at the root, it indicates that there is sti...[Read More] Post-Tooth Extraction Care: When to Use Bone Graft or Collagen?
Understanding TMJ Disorders: A Patient's Journey Through Pain and Misdiagnosis
Temporomandibular joint (TMJ) Hello Dr. Huang, I would like to ask you if a ruptured disc in the jaw can cause unusual sounds when swallowing. I hear a lot of crackling noises and sounds similar to bones colliding. A misdiagnosis has caused me immense sadness and pain; a large ch...
Dr. Huang Zhicheng Reply:
Hello, from the perspective of a physician specializing in temporomandibular joint (TMJ) disorders, the damage you are experiencing is likely due to TMJ dislocation. The clicking and popping sounds when opening and closing your mouth may be related to the proximity to the inner e...[Read More] Understanding TMJ Disorders: A Patient's Journey Through Pain and Misdiagnosis
Do I Need Orthodontics? Understanding Costs and Treatment Duration
Is correction needed? Hello, I would like to ask if I need orthodontic treatment. I have posted photos on my blog: http://www.wretch.cc/album/album.php?id=qcshowshow&book=1&page=1. I have always felt that my profile looks like my mouth is protruding. If treatment is neces...
Dr. Huang Zhicheng Reply:
Hello, a prominent mouth may be related to either an overdeveloped jawbone or simply a misaligned dental arch. An X-ray examination is necessary for analysis. If the issue is due to the jawbone, orthognathic surgery may be required, which can be quite expensive, around 200,000 to...[Read More] Do I Need Orthodontics? Understanding Costs and Treatment Duration
Is It Safe to Leave a Root Canal Shadow Untreated?
Please feel free to ask your question? If a dentist discovers shadows on an X-ray several years after a root canal treatment, but the patient currently has no pain or symptoms and believes that the bacteria and the body's antibodies have reached a state of coexistence, is th...
Dr. Zeng Guanghui Reply:
Hello, Miss: The presence of shadows on X-rays after several years of root canal treatment indicates that bacteria are still present within the root canal, leading to chronic infection and inflammation around the apex of the tooth. However, due to the body's inherent resista...[Read More] Is It Safe to Leave a Root Canal Shadow Untreated?
Root Canal Treatment: When to Re-Treat and Wisdom Tooth Extraction Concerns
Endodontic treatment Hello Doctor, I have two questions to ask: 1. An X-ray taken a few years after root canal treatment shows a dark shadow, but there is no pain or discomfort. Should I undergo re-treatment? 2. My hemoglobin level is 10.5, and my bleeding time is 3.5 minutes. Is...
Dr. Zeng Guanghui Reply:
Hello, thank you for your question. Here are my suggestions: If a tooth that has undergone root canal treatment shows a dark shadow on an X-ray after a few years, it may indicate chronic inflammatory lesions at the root, although there may not be any clinical symptoms. I still re...[Read More] Root Canal Treatment: When to Re-Treat and Wisdom Tooth Extraction Concerns
Managing Mandibular Cysts: Surgical Options and Considerations
How should a mandibular cyst be managed? Dear Dr. Chuang, Recently, I visited a dental clinic due to gum inflammation, and an X-ray revealed that I have a cyst (2x2.5 cm) in my mandible caused by an impacted wisdom tooth. The dentist mentioned that surgery is necessary for remov...
Dr. Zhuang Suhui Reply:
Hello: Whether or not bone grafting is needed depends on the actual size of the bone defect. If the bone defect is significant, bone grafting is necessary for better recovery. There is a risk of nerve injury during the surgery. You can discuss this with an oral surgeon, and you m...[Read More] Managing Mandibular Cysts: Surgical Options and Considerations
Understanding Inflammation Below Teeth: Treatment Options and Advice
Inflammation below the tooth? Dear Doctor, I previously visited a dentist and had an X-ray taken. The dentist informed me that there is inflammation in the bone beneath my tooth and that there is pus present. This tooth had undergone root canal treatment before, so the general d...
Dr. Zhuang Suhui Reply:
Hello: Retreatment after a failed root canal is inherently more complicated and has a lower success rate. It is not always necessary to use a microscope for retreatment; it depends on the specific situation. However, without your X-rays and without observing your clinical symptom...[Read More] Understanding Inflammation Below Teeth: Treatment Options and Advice
Understanding Root Canals: A Patient's Journey Through Dental Pain
Nerve block A week ago, on May 25th, I began experiencing intermittent pain in the teeth next to my front teeth, with sensitivity to hot and cold foods. After a check-up at Huanran Dental Clinic, I did not feel any pain when the dentist tapped on the teeth. After a cleaning, I wa...
Dr. Cao Guoqing Reply:
The diagnosis for root canal treatment requires: 1. X-rays 2. Clinical symptoms including patient-reported symptoms and physician findings. The symptoms you described are clearly indicative of acute pulpitis, which necessitates root canal therapy, along with medication for pain r...[Read More] Understanding Root Canals: A Patient's Journey Through Dental Pain
Why Is My Child's Tooth Not Coming In? Dental Concerns Explained
Teeth are not erupting? Hello Doctor: My son is seven years old, and the tooth on the right side of his two front teeth has not erupted yet, while the one on the other side has already come in. We visited a dentist who recommended an X-ray, which showed that the space between his...
Dr. Zhuang Suhui Reply:
Hello: Sometimes when there is insufficient space, external force may be applied to create some space for tooth alignment. If the canine teeth fall out and occupy the space meant for them, there will still be no room when the canines are ready to erupt. If you prefer not to proce...[Read More] Why Is My Child's Tooth Not Coming In? Dental Concerns Explained
Common Dental Concerns: Wisdom Teeth, Root Canals, and Myths
Dental issues Hello, Doctor: 1. Should wisdom teeth generally be extracted? Additionally, after anesthesia, will there be no pain during the extraction? Once the anesthesia wears off, will there be significant pain? 2. I previously underwent root canal treatment, and the origi...
Dr. Zeng Guanghui Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: If your wisdom teeth are growing in a tilted position and cannot be properly cleaned, leading to recurrent oral infections, it is advisable to have them extracted. Du...[Read More] Common Dental Concerns: Wisdom Teeth, Root Canals, and Myths
Can Dental Implants Cause Sinus Issues and Chronic Nasal Problems?
Teeth Can getting a dental crown for a cavity potentially perforate the sinus cavity? I started experiencing sinusitis four years after getting a dental crown, and multiple treatments have been ineffective. I feel very distressed every day. What should I do?
Dr. Yang Zhiren Reply:
Hello: It is advisable to first have an outpatient X-ray to confirm whether the treatment is complete. If it is the first or second maxillary molar, the roots are closer to the maxillary sinus, which may affect the sinus. A retreatment of the root canal should improve your sympto...[Read More] Can Dental Implants Cause Sinus Issues and Chronic Nasal Problems?
Understanding Impacted Wisdom Teeth: Symptoms and Treatment Options
Wisdom tooth issues Hello, Doctor: Recently, my lower teeth have been misaligned, causing them to rub against my tongue and resulting in frequent tongue sores. About a week ago, I had the inner sides of my teeth smoothed out. Lately, when I brush my lower teeth, I often feel pain...
Dr. Zhuang Suhui Reply:
Hello: It is not unusual for a 29-year-old to have wisdom teeth. Some wisdom teeth may grow in misaligned and can affect other teeth, necessitating their extraction. Frequently biting one's own lips or tongue is not necessarily related to the wisdom teeth.[Read More] Understanding Impacted Wisdom Teeth: Symptoms and Treatment Options